Prostate cancer is assigned to ICD-9-CM diagnosis code 185. Carcinoma in situ of the prostate is classified to code 233.4, and a benign neoplasm of the prostate goes to code 222.2.
Radical prostatectomy is performed through this incision. In rare cases, the incision is made in the perineum, the space between the scrotum and anus. In laparoscopic prostatectomy, surgeons make several small incisions across the belly. The surgeon views the entire operation on a video screen.
There is only one robotic CPT code for a prostatectomy in the CPT book and that code reads: 55866- Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance when preformed. Since a simple prostatectomy does not include everything listed in the description of CPT code 55866, ...
Use 55821 if your urologist is performing the laparoscopic prostatic enucleation through an open bladder approach. If he is using an incision in the prostatic capsule instead, use 55831. Check your surgeon’s documentation to determine the best code to use as your benchmark.
I don' t think there's a code for a simple lap prostatectomy? If there is (not my area of expertise), you can code that, and add the S2900 for robotic procedure performed. If there's no code for the simple prostatecto my, you'd have to code the radical with the -52.